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2. Your Name*
4. Phone Number*
5. E-Mail Address*
7. Code Violation

   1. Tall Grass and Weeds (Article II Section 13-20)
   2. Brush and Limbs (Section 13-60)
   3. Garbage, Junk and Litter (Article III Section 13-31)
   4. Junked Vehicle (Section 13-62)
   5. Other (Explain in Comments)
8. Comments
10. Address of Violation Property*
12. Picture Upload*
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13. 1. Receive an email copy of this form.
14. Email address

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15. Submit

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